Job Title: Member Success Specialist – Medicaid & MLTC
Location: Manhattan, NY 10004
Job Duration: 3 + months: High possibility of extension
Shift: 9:00 AM – 5:00 PM (Hybrid)
Schedule: 5 days/week, 35 hours/week (Thursdays mandatory onsite)
Pay Range: $18 - $22/hr. on w2
Summary:
Client is looking for a Customer Success Specialist who will support members throughout their healthcare journey by assisting with enrollment, recertification, renewals, member retention, provider selection, and customer support activities. The role requires strong communication skills, customer service experience, and the ability to collaborate with internal and external stakeholders.
Responsibility:
- Assist members with recertification and renewal processes.
- Support enrollment activities, including re-enrollment and line-of-business changes.
- Help members with PCP selection and locating providers/vendors within the network.
- Maintain outreach and retention goals through inbound and outbound communication.
- Provide excellent customer service and resolve member concerns.
- Identify process improvement opportunities and report common member trends.
- Collaborate with different departments to improve the member experience.
Requirement:
- Associate’s Degree with at least 1 year of customer service/customer engagement experience; OR
- High School Diploma with 3–5 years of relevant experience.
- Experience in customer service, sales, community engagement, or direct consumer interaction preferred.
- Bilingual candidates preferred.
- Candidate must obtain CAC Certification within the first month of employment (training provided by client).
Skills Required:
- Strong communication skills
- Customer service focus
- Attention to detail
- Problem-solving skills
- Conflict resolution
- Ability to collaborate with stakeholders
- Highly organized and patient-focused.